CP Rail
JOB BRIEFING / EMERGENCY PROCEDURE
NAC
Name
*
First Name
Last Name
Email
*
example@example.com
Date
*
-
Year
-
Month
Day
Date
R.T.C. or Yard Master #
Location
*
Department
Others
Work to be performed
*
Procedures to implement
Results of Inspection
Rows
Yes
No
N/A
Safety and Emergency Procedures Posted
Rescue Equipment in place?
First Aid Kit and stretcher-onsite?
Is PPE being used?
Is special PPE required?
Signs or track protection according to regulation?
Is there other equipment working in our limits?
Job site is clean and free of obstacles or slippery conditions?
Fall protection required?
Will anchorage or scaffold need to be inspected?
Tools & equipment: Are they in good condition?
Is hot work required?
Is confined space permit required?
Trenching and excavations required?
Are there any buried cables or gas or powerlines?
Have appropriate authorities been contacted
Is lock-out/Tag-out required?
Have all departments been advised?
Does everybody understand?
Others:
Deficiencies (safety)
Remedial Action (Required / Taken)
Scaffolds, Anchors, life line, etc. Daily inspections (Inspected by:)
Employee Initials
Comments:
Visitor Name(s)
ISN Compliant
Yes
No
Signature
Signature
Signature
Signature
Signature
Signature
Signature
Signature
Signature
Signature
Preview PDF
Submit
Should be Empty: